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Montana rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.26 / $391.85 / $1,821.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.92 / $558.92 / $558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.47 / $558.92 / $618.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.22 / $378.43 / $609.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.29 / $558.92 / $752.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.36 / $600.88 / $709.51